Background. More widespread use of emergency contraception could help
to reduce the number of unwanted pregnancies. Aim. The objective of th
is study was to assess women's knowledge of emergency contraception. M
ethod A questionnaire was distributed to 1290 women aged between 16 an
d 50 years attending 14 general practice surgeries in London over a tw
o-week period in 1990. Results. The response rate was 70%. Over three
quarters of the women had heard of emergency contraception; these were
mainly women who used contraception, who had higher educational quali
fications or who were not Muslim. Women who were the most likely to ne
ed and to use emergency contraception - those using barrier methods -
had no more accurate knowledge than women using any other method of co
ntraception. Only 53% of barrier method users knew emergency contracep
tion could be used as a backup when other methods failed. Only one fif
th of women had heard about this method from their general practitione
r or any other health professional, while half had obtained their info
rmation from the media. Conclusion. These results suggest that includi
ng information on emergency contraception in consultations with users
of barrier methods of contraception is a small step which general prac
titioners and practice nurses could take to increase the use of emerge
ncy contraception.